```

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6066 Reported in House (RH)]

<DOC>

                                                 Union Calendar No. 807
115th CONGRESS
  2d Session
                                H. R. 6066

                         [Report No. 115-1034]

 To amend title 38, United States Code, to improve the productivity of 
 the management of Department of Veterans Affairs health care, and for 
                            other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                              June 8, 2018

 Mr. Wenstrup introduced the following bill; which was referred to the 
                     Committee on Veterans' Affairs

                           November 16, 2018

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]
[For text of introduced bill, see copy of bill as introduced on June 8, 
                                 2018]

_______________________________________________________________________

                                 A BILL

 
 To amend title 38, United States Code, to improve the productivity of 
 the management of Department of Veterans Affairs health care, and for 
                            other purposes.

 

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. DEPARTMENT OF VETERANS AFFAIRS HEALTH CARE PRODUCTIVITY 
              IMPROVEMENT.

    (a) In General.--Subchapter I of chapter 17 of title 38, United 
States Code, is amended by inserting after section 1705A the following 
new section:
``Sec. 1705B. Management of health care: productivity
    ``(a) Relative Value Unit Tracking.--The Secretary shall track 
relative value units for all Department providers.
    ``(b) Clinical Procedure Coding Training.--If the coding accuracy 
of a Department provider within a clinical area of responsibility of 
the provider falls below the minimum threshold set by the Secretary, 
the Secretary shall require the Department provider to attend training 
on clinical procedure coding.
    ``(c) Performance Standards.--(1) The Secretary shall establish for 
each Department facility--
            ``(A) in accordance with paragraph (2), standardized 
        performance standards based on nationally recognized relative 
        value unit production standards applicable to each specific 
        profession in order to evaluate clinical productivity at the 
        provider and facility level;
            ``(B) remediation plans to address low clinical 
        productivity and clinical inefficiency; and
            ``(C) an ongoing process to systematically review the 
        content, implementation, and outcome of the plans developed 
        under subparagraph (B).
    ``(2) In establishing the performance standards under paragraph 
(1)(A), the Secretary--
            ``(A) may incorporate values-based productivity models and 
        may incorporate other productivity measures and models 
        determined appropriate by the Secretary; and
            ``(B) shall take into account non-clinical duties, 
        including with respect to training and research;
            ``(C) shall take into account factors that impede 
        productivity and efficiency and, in developing remediation 
        plans under paragraph (1)(B), shall incorporate action plans to 
        address such factors.
    ``(d) Definitions.--In this section:
            ``(1) The term `Department provider' means an employee of 
        the Department who has been appointed to the Veterans Health 
        Administration as a physician, a dentist, an optometrist, a 
        podiatrist, a chiropractor, an advanced practice registered 
        nurse, or a physician's assistant acting as an independent 
        provider.
            ``(2) The term `relative value unit' means a unit for 
        measuring workload by determining the time, mental effort and 
        judgment, technical skill, physical effort, and stress involved 
        in delivering a service.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by inserting after the item relating to section 
1705A the following new item:

``1705B. Management of health care: productivity.''.
    (c) Report.--Not later than one year after the date of the 
enactment of this Act, the Secretary of Veterans Affairs shall submit 
to Congress a report on the implementation of section 1705B of title 
38, United States Code, as added by subsection (a). Such report shall 
include, for each professional category of Department of Veterans 
Affairs providers, the relative value unit of such category of 
providers at the national, Veterans Integrated Service Network, and 
facility levels.
    (d) Comprehensive Staffing Models.--Not later than one year after 
the date of the enactment of this Act, the Secretary of Veterans 
Affairs shall develop comprehensive staffing models for all Department 
of Veterans Affairs medical centers.
                                                 Union Calendar No. 807

115th CONGRESS

  2d Session

                               H. R. 6066

                         [Report No. 115-1034]

_______________________________________________________________________

                                 A BILL

 To amend title 38, United States Code, to improve the productivity of 
 the management of Department of Veterans Affairs health care, and for 
                            other purposes.

_______________________________________________________________________

                           November 16, 2018

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed
```